OrganizationActive
Tam of Blackduck PA
NPI 1073657011 · Community/Retail Pharmacy · Blackduck, MN
Tam of Blackduck PA is a Community/Retail Pharmacy organization in Blackduck, MN (NPI 1073657011).
Provider details
- NPI number
- 1073657011
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Joseph Moon, Owner Pic(218) 835-7740
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17 Main St S
Blackduck, MN 56630-4245
Phone: (218) 835-7740
Fax: (218) 835-7869
Street-level locationGet directions
Mailing address
Po Box 280
Blackduck, MN 56630-0280
Other names (DBA / former)
- Doing business as
- Moons Pharmacy
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2017-03-15
Frequently asked questions
- What is Tam of Blackduck PA's NPI number?
- Tam of Blackduck PA's National Provider Identifier (NPI) is 1073657011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tam of Blackduck PA?
- Tam of Blackduck PA is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Tam of Blackduck PA located?
- Tam of Blackduck PA's practice location on file with NPPES is 17 Main St S, Blackduck, MN 56630-4245.
- What is Tam of Blackduck PA's phone number?
- The practice phone number listed in the NPPES registry for Tam of Blackduck PA is (218) 835-7740.
- Who is the authorized official for Tam of Blackduck PA?
- The authorized official listed on Tam of Blackduck PA's NPPES record is Joseph Moon, Owner Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tam of Blackduck PA's NPI active?
- Yes — Tam of Blackduck PA's NPI (1073657011) is active in the NPPES registry as of the last update on 2017-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.